Evidence map›Paper›PMID 38444629›Full record

ArticleJournal of the Endocrine Society2024

Nasal Glucagon Reverses Insulin-induced Hypoglycemia With Less Rebound Hyperglycemia: Pooled Analysis of Clinical Trials.

Elizabeth Seaquist, Marga Giménez, Yu Yan, Munehide Matsuhisa, Christi Yuting Kao, R Paul Wadwa, Yukiko Nagai, Kamlesh Khunti

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01994746 phase3completednot on this map

Efficacy and Safety of Nasal Glucagon for Treatment of Insulin Induced Hypoglycemia in Adults With Diabetes

TypeinterventionalSponsorEli Lilly and CompanyRan2013 to 2015Enrolled77ConditionsDiabetes Mellitus, Type 1ArmsNasal Glucagon, Intramuscular Glucagon
NCT03339453 phase1completednot on this map

Comparison of Glucagon Administered by Either the Nasal (LY900018) or Intra-muscular (GlucaGen®) Routes in Adult Patients With Type 1 Diabetes Mellitus During Controlled Insulin-Induced Hypoglycemia

TypeinterventionalSponsorEli Lilly and CompanyRan2017 to 2018Enrolled70ConditionsHypoglycemia, Diabetes Mellitus, Type 1ArmsNasal Glucagon, Intramuscular Glucagon
NCT03421379 phase3completednot on this map

A Phase 3 Study of Nasal Glucagon (LY900018) Compared to Intramuscular Glucagon for Treatment of Insulin-induced Hypoglycemia in Japanese Patients With Diabetes Mellitus

TypeinterventionalSponsorEli Lilly and CompanyRan2018 to 2018Enrolled75ConditionsDiabetes MellitusArmsGlucagon Nasal Powder, Glucagon Hydrochloride Solution
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Elizabeth SeaquistDepartment of Medicine, Division of Endocrinology and Diabetes, University of Minnesota, Minneapolis, MN 55455, USA.
Marga GiménezDiabetes Unit, Endocrinology and Nutrition Department, Hospital Clínic de Barcelona, Barcelona 08036, Spain.ORCID https://orcid.org/0000-0003-2976-1690
Yu YanEli Lilly and Company, Indianapolis, IN 46225, USA.ORCID https://orcid.org/0009-0008-0952-4210
Munehide MatsuhisaDiabetes Therapeutics and Research Center, Institute of Advanced Medical Sciences, Tokushima University, Tokushima 770-8503, Japan.
Christi Yuting KaoEli Lilly and Company, Indianapolis, IN 46225, USA.
R Paul WadwaBarbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Yukiko NagaiEli Lilly and Company, Indianapolis, IN 46225, USA.
Kamlesh KhuntiDiabetes Research Centre, University of Leicester, Leicester LE1 7RH, UK.
Eli Lilly (United States) · USHospital Clínic de Barcelona · ESTokushima University · JPUniversity of Colorado Anschutz Medical Campus · USUniversity of Leicester · GBUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rebound hyperglycemia may occur following glucagon treatment for severe hypoglycemia. We assessed rebound hyperglycemia occurrence after nasal glucagon (NG) or injectable glucagon (IG) administration in patients with type 1 diabetes (T1D) and type 2 diabetes (T2D). Methods: This was a pooled analysis of 3 multicenter, randomized, open-label studies (NCT03339453, NCT03421379, NCT01994746) in patients ≥18 years with T1D or T2D with induced hypoglycemia. Proportions of patients achieving treatment success [blood glucose (BG) increase to ≥70 mg/dL or increase of ≥20 mg/dL from nadir within 15 and 30 minutes]; BG ≥70 mg/dL within 15 minutes; in-range BG (70-180 mg/dL) 1 to 2 and 1 to 4 hours postdose; and BG >180 mg/dL 1 to 2 and 1 to 4 hours postdose were compared. Incremental area under curve (iAUC) of BG >180 mg/dL and area under curve (AUC) of observed BG values postdose were analyzed. Safety was assessed in all studies. Results: Higher proportions of patients had in-range BG with NG vs IG (1-2 hours: Conclusion: This study demonstrated lower rebound hyperglycemia risk after NG treatment compared with IG. Clinical Trial Registration: NCT03421379, NCT03339453, NCT01994746.

Indexed as

hypoglycemianasal glucagonrebound hyperglycemiatype 1 and 2 diabetes

Identifiers

PMID38444629
PMCPMC10913376
OpenAlexW4392168852

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.